Prediction of hemorrhagic transformation following embolic stroke in patients with prosthetic valve endocarditis

In Jeong Cho, Jin Sun Kim, Hyuk Jae Chang, Yong Jin Kim, Sang Chol Lee, Jung Hyun Choi, Sanghoon Shin, Chi Young Shim, Geu Ru Hong, Jong Won Ha, Namsik Chung

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Hemorrhagic transformation (HT) of stroke is a disastrous complication in patients with infective endocarditis (IE). In patients with mechanical heart valves complicated by IE, physicians struggle with the appropriateness of anticoagulation administration given the risk of thromboembolism and HT of stroke. In this study, we aimed to define predictive parameters of HT of stroke in patients with prosthetic valve endocarditis (PVE). Methods: This study was a multicenter, retrospective design. We recruited from 7 institutions a total of 111 patients diagnosed with PVE during May, 2011 to April, 2012. Results: Complication of stroke was seen in 26/111 patients (23%), and HT of stroke was seen in 11/111 patients (10%). Most patients with HT (9/11, 82%) had supratherapeutic prothrombin times. However, there were no significant differences in clinical and laboratory values between PVE patients without stroke and those patients who had a stroke and with or without concurrent HT. Furthermore, echocardiographic parameters also did not show significant between-group differences. Conclusion: Even though this was a multicenter study, a limited number of patients was identified and may explain the negative results seen here. However, a large number of PVE patients with stroke also developed HT. Therefore, further studies to define predictive parameters of HT should be implemented in a larger population.

Original languageEnglish
Pages (from-to)123-129
Number of pages7
JournalJournal of Cardiovascular Ultrasound
Volume21
Issue number3
DOIs
Publication statusPublished - 2013 Sep 1

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Endocarditis
Stroke
Prothrombin Time
Thromboembolism
Heart Valves
Multicenter Studies
Physicians

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Cho, In Jeong ; Kim, Jin Sun ; Chang, Hyuk Jae ; Kim, Yong Jin ; Lee, Sang Chol ; Choi, Jung Hyun ; Shin, Sanghoon ; Shim, Chi Young ; Hong, Geu Ru ; Ha, Jong Won ; Chung, Namsik. / Prediction of hemorrhagic transformation following embolic stroke in patients with prosthetic valve endocarditis. In: Journal of Cardiovascular Ultrasound. 2013 ; Vol. 21, No. 3. pp. 123-129.
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abstract = "Background: Hemorrhagic transformation (HT) of stroke is a disastrous complication in patients with infective endocarditis (IE). In patients with mechanical heart valves complicated by IE, physicians struggle with the appropriateness of anticoagulation administration given the risk of thromboembolism and HT of stroke. In this study, we aimed to define predictive parameters of HT of stroke in patients with prosthetic valve endocarditis (PVE). Methods: This study was a multicenter, retrospective design. We recruited from 7 institutions a total of 111 patients diagnosed with PVE during May, 2011 to April, 2012. Results: Complication of stroke was seen in 26/111 patients (23{\%}), and HT of stroke was seen in 11/111 patients (10{\%}). Most patients with HT (9/11, 82{\%}) had supratherapeutic prothrombin times. However, there were no significant differences in clinical and laboratory values between PVE patients without stroke and those patients who had a stroke and with or without concurrent HT. Furthermore, echocardiographic parameters also did not show significant between-group differences. Conclusion: Even though this was a multicenter study, a limited number of patients was identified and may explain the negative results seen here. However, a large number of PVE patients with stroke also developed HT. Therefore, further studies to define predictive parameters of HT should be implemented in a larger population.",
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Prediction of hemorrhagic transformation following embolic stroke in patients with prosthetic valve endocarditis. / Cho, In Jeong; Kim, Jin Sun; Chang, Hyuk Jae; Kim, Yong Jin; Lee, Sang Chol; Choi, Jung Hyun; Shin, Sanghoon; Shim, Chi Young; Hong, Geu Ru; Ha, Jong Won; Chung, Namsik.

In: Journal of Cardiovascular Ultrasound, Vol. 21, No. 3, 01.09.2013, p. 123-129.

Research output: Contribution to journalArticle

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